Provider Demographics
NPI:1972519791
Name:KEMPER, EUGENE LEIGHTON JR (DC)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:LEIGHTON
Last Name:KEMPER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2311
Mailing Address - Country:US
Mailing Address - Phone:530-894-0234
Mailing Address - Fax:530-894-0258
Practice Address - Street 1:1881 ESPLANADE
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2311
Practice Address - Country:US
Practice Address - Phone:530-894-0234
Practice Address - Fax:530-894-0258
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0155540Medicare ID - Type Unspecified